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Captured external expert commentary on this paper, strongest first. Original sources are linked where available.
“Our study shows that there are good reasons to nuance and tone down the message, which has been widespread at times, that high levels of fitness or participating in races would pose a big risk to a person's cardiovascular health. The risk of atrial fibrillation is certainly not zero, but that said, the benefits are significantly greater.”
“We were then able to see that the age-dependent effect disappeared. Instead, we saw that the net effect was positive from the start, and that the benefits were greater as age increased. From a lifelong perspective, the findings show that the benefits of high levels of fitness outweigh the risks.”
Cohort study shows cardiorespiratory fitness impacts atrial fibrillation risk and cardiovascular benefits in young men, indicating safe fitness levels.
Ballin et al. (2026) studied this question.
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